Evidence supporting the use of: Branched-Chain Amino Acids
For the health condition: Cirrhosis of the Liver
Synopsis
Source of validity: Scientific
Rating (out of 5): 3
Branched-Chain Amino Acids (BCAAs)—comprising leucine, isoleucine, and valine—have scientific support for use in cirrhosis of the liver, particularly for hepatic encephalopathy and improving nutritional status. Patients with cirrhosis often experience reduced plasma BCAA levels and increased aromatic amino acids, contributing to altered neurotransmitter synthesis and muscle wasting (sarcopenia). Multiple randomized controlled trials and meta-analyses suggest that BCAA supplementation can improve hepatic encephalopathy symptoms and may help maintain muscle mass in these patients. For example, a 2017 Cochrane review found that oral BCAAs may have a beneficial effect on hepatic encephalopathy compared to placebo or no intervention. The European Society for Clinical Nutrition and Metabolism (ESPEN) and the American Association for the Study of Liver Diseases (AASLD) both acknowledge the potential benefits of BCAA supplementation in selected populations with cirrhosis, particularly those with recurrent hepatic encephalopathy or protein-energy malnutrition. However, evidence for improvement in overall survival is limited, and the effect size for functional or quality-of-life outcomes is modest. In summary, BCAAs have a scientific basis for use as adjunct therapy in cirrhosis, especially for hepatic encephalopathy and nutritional support, but they are not a cure and should be used as part of comprehensive medical management.
More about Branched-Chain Amino Acids
More about Cirrhosis of the Liver
Other ingredients used for Cirrhosis of the Liver
alpha-ketoglutarate (AKG)artichoke
astaxanthin
branched-chain amino acids
bupleurum falcatum
burdock
caterpillar mushroom
turmeric
curcumin
dandelion
flavonols
garlic bulb
ginger
green tea
Indian tinospora
l-glutathione
licorice root
liquid liver fractions
milk thistle
n-acetyl-cysteine (NAC)
oleanolic acid
phospholipids
quercetin
reishi mushroom
resveratrol
selenium
silymarin
spirulina
vitamin B
vitamin E
seaweed
zinc
sarsaparilla
punarnava
picrorhiza kurroa
buckthorn
morus
dodder
ganoderma
goji berry
Antrodia camphorata
Borotutu
Bael
bile acid
Boerhavia diffusa
Coriolus mushroom
Curcuminoid
Cynarin
Cowherb
Eupolyphaga sinensis
Other health conditions supported by Branched-Chain Amino Acids
Acquired Immune Deficiency SyndromeAlcoholism
Anorexia
Athletic and Exercise Aids
Cancer (natural therapy for)
Cancer Treatment (reducing side effects)
Chemotherapy (reducing side effects)
Chronic Obstructive Pulmonary Disorder
Cirrhosis of the Liver
Convalescence
Endurance (lack of)
Energy (lack of)
Fatigue
Hepatitis
Inflammation
Inflammatory Bowel Disorders
Liver Detoxification
Muscle Tone (lack of)
Nephritis
Wasting